Abstract

Aim: To report a case of left eye endogenous endophthalmitis with uncontrolled Type 2 diabetes mellitus with pyelonephritis associated with Escherichia coli septicemia.
Methods: Retrospective analysis of medical records of the patient was done. A 55-year-old poorly controlled diabetic male patient was diagnosed with pyelonephritis with Escherichia coli septicemia. Comprehensive ophthalmic examination was done.
Results: Anterior segment examination of left eye showed lid edema, circumciliary congestion with hypopyon. Fundus showed vitreous exudates. B scan showed plenty of low to moderate reflective dot echoes and few membrane echoes. Patient underwent vitrectomy with intravitreal antibiotics and steroids. There was significant improvement in vision after treatment.
Conclusion: Endogenous endophthalmitis is considered an emergency, which runs a potentially devastating course leaving very limited visual function in many patients. Timely intervention is important to save vision.